Kari Johannsen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11622 Issued in OR

Practice address

2863 NW Crossing Dr Ste 212
Bend, OR 97703-7190

Phone

(541) 301-6591

NPI assigned

Nov 12, 2006

Last updated

Aug 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westside Therapy

  • Adult Mental Health Clinic/Center
  • Bend, OR
  • NPI 1427880822
  NPD Authorized official
• Centered Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bend, OR
  • NPI 1083226625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1922179068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 NW IOWA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031010",
            "telephone_number": "541-301-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 NW CROSSING DR STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037190",
            "telephone_number": "541-301-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "KARI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Jiles, LMT
• Jillian Marcucci, LLC (Rooted in us)
• Gregory Kent Jividen, RN
• Lisa Marie Jobay, LPC, R-DMT
• Megan Joens
• Morgan Taylor Johansen, PT
• Rupinder Johl, DMD
• John a. Murphy MD PC
• Beverly John, LMT
• Corinne Florence Johns, QMHP

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.